Individual provider Active NPI

Wendy Lu

  • Professional Counselor
  • Los Angeles, CA
National Provider Identifier
1215557491
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
5100 S Eastern Ave Ste 100
Los Angeles, CA 90040-2964
Phone
(323) 647-6740
NPI assigned
Apr 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

5100 S Eastern Ave Ste 100
Los Angeles, CA 90040-2964

Mailing address

5100 S Eastern Ave Ste 100
Los Angeles, CA 90040-2964

Other practice location 1

1426 Fillmore St Ste 216
San Francisco, CA 94115-4164
Phone (415) 561-0631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260123002392 CA Practitioner - Mental Health Counselor 6507343209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 E Olive Ave
Suite 203
Burbank, CA 91502-1849

16118 Flamstead Dr
Hacienda HTS, CA 91745-3644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17242CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Enki Health Services, Inc CurrentSince Oct 6, 2024 Accepting new patients
Enki Health Services, Inc. CurrentSince Jan 13, 2026 Accepting new patients
Enki Health Services, Inc CurrentSince Jan 13, 2026 Accepting new patients
Young Men'S Christian Association of San Francisco PastSince Apr 1, 2020 Accepting new patients

Locations

6001 Clara St
Bell Gardens, CA 90201
Phone (562) 806-5000

150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899

1000 Goodrich Blvd
Commerce, CA 90022
Phone (323) 832-9795

1436 Goodrich Blvd
Commerce, CA 90022
Phone (323) 725-1337

160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971

5100 S Eastern Ave
Ste 100
Los Angeles, CA 90040
Phone (323) 647-6740

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1215557491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S EASTERN AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900402964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S EASTERN AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900402964",
            "telephone_number": "323-647-6740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1426 Fillmore St Ste 216",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941154164",
            "country_code": "US",
            "telephone_number": "415-561-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.